Sunday, April 21, 2019


Q: All of the followings are the antecedent signs & symptoms of Eclampsia except?

A) Hypertension 
B) Headache 
C) Visual disturbances 
D) Ankle clonus
E) Left upper quadrant pain 

Answer: E

About 3/4th of the patients with eclampsia have some antecedent signs and symptoms developing in the hours prior to the initial seizure. Hypertension is the most common sign followed by a headache. Although visual disturbances have been classically described only a quarter of the women developed this. Ankle clonus is also reported.

It's a right upper quadrant or epigastric pain which is common, proposed to be due to stretching of the liver capsule.




1. Berhan Y, Berhan A. Should magnesium sulfate be administered to women with mild pre-eclampsia? A systematic review of published reports on eclampsia. J Obstet Gynaecol Res 2015; 41:831. 

2. Chuan FS, Charles BG, Boyle RK, Rasiah RL. Population pharmacokinetics of magnesium in preeclampsia. Am J Obstet Gynecol 2001; 185:593.

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